小儿先天性巨结肠根治术后采用延续性护理对恢复效果和依从性的影响

Effect of continuous nursing on recovery and compliance after radical resection of congenital megacolon in children

目的探讨先天性巨结肠根治手术患儿行延续性护理模式的临床价值,评定患儿术后恢复质量和依从性。方法选取2017年1月至2018年2月本院收治的行先天性巨结肠根治术患儿共35例,予以抽签法的形式分为观察组(n=17)和对照组(n=18)。观察组患儿行延续性护理模式,对照组患儿行基础护理干预,对比两组护理后的治疗依从性以及并发症发生率。结果 观察组总依从率为82.35%,高于对照组的44.44%,差异有统计学意义(P<0.05);并发症发生率中,观察组便秘11.76%、吻合出血5.88%、感染17.65%、小肠结肠炎0.00%,均低于对照组(分别为22.22%、27.78%、16.67%、5.56%),差异均有统计学意义(均P<0.05)。结论 在小儿先天性巨结肠根治手术护理工作中采用延续性护理法,有助于加快患儿术后康复速度,提升临床诊疗依从性,具有较高的推广价值。

Objective To investigate the clinical value of continuous nursing for children with congenital megacolon treated by radical surgery, and to evaluate their postoperative recovery quality and compliance. Methods A total of 35 children with congenital megacolon treated by radical resection at our hospital between January, 2017 and February, 2018 were selected, and divided into an observation group (n=17) and a control group(n=18). The observation group received continuous nursing, and the control group basic nursing. The treatment compliance and the incidence of complications were compared between the two groups. Results The total compliance rate was higher in the observation group than in the control group (82.35% vs. 44.44%, P < 0.05). The incidences of constipation, anastomotic bleeding, infection, and enterocolitis were 11.76%, 5.88%, 17.65%, and 0.00% in the observation group, and were 22.22%, 27.78%, 16.67%, and 5.56% in the control group (all P < 0.05). Conclusion Continuous nursing for children with congenital megacolon treated by radical surgery is helpful to improve their postoperative rehabilitation and compliance of clinical diagnosis and treatment, so it has a high promotion value.